NPI Index

DR. GRADY CLARK JR., O.D.

Optometrist - Corneal and Contact Management

Active Individual
NPI: 1831276278

Practice Address

2112 N FRONTAGE RD
Meridian, MS 39301

Phone: (601) 693-2020

Specialties

Specialty Code Primary License
Optometrist 152W00000X No 457 (MS)
Optometrist - Corneal and Contact Management 152WC0802X Yes 457 (MS)

Frequently Asked Questions

NPI 1831276278 is the National Provider Identifier for DR. GRADY CLARK JR., O.D., a Optometrist - Corneal and Contact Management provider located in Meridian, MS. This NPI was enumerated on November 1, 2006.
DR. GRADY CLARK JR., O.D. practices at 2112 N FRONTAGE RD, Meridian, MS 39301.

Quick Facts

NPI
1831276278
Type
Individual
Enumerated
Nov 1, 2006
Last Updated
Sep 11, 2018

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